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PubMed2002

Video-hypnosis--the provision of specialized therapy via videoconferencing.

Hypnosis is not normally accessible to patients living in remote areas. We conducted a pilot study to evaluate the feasibility of providing hypnosis via videoconferencing, using ISDN at 384 kbit/s. Eleven of 15 patients invited to do so took part. Ten of the 11 stated that they were satisfied with the video-hypnosis session and all indicated that they would like to have further video-hypnosis sessions in the future. Sound quality and image quality were acceptable during nearly all sessions, in spite of some interference as a result of technical problems and weather conditions. The results suggest that hypnosis can be provided successfully via videoconferencing.

Attitude of Health Personnel↗
PubMed2001

Low-bandwidth, Internet-based videoconferencing for physical rehabilitation consultations.

Low-bandwidth, Internet-based videoconferencing was used to provide physical rehabilitation consultation services for eight community hospitals. Videoconferencing and file transmission used a PC and modem. A separate telephone line was used for voice. Over 21 months, 47 physical rehabilitation consultations were completed for communication disorders, foot care, gait problems, orthotics, prosthetics, arm weakness and wheelchair prescription. Consultations were approximately 40 min long. Clinician questionnaires were completed by 47 individuals. While more than 80% of the questionnaire responses supported the telemedicine approach, remote clinicians rated their satisfaction higher than did the specialists. Client questionnaires were completed by 24 individuals (a response rate of 51%). All clients were comfortable with and had confidence in the teleconsultations.

Attitude of Health Personnel↗
PubMed2001

The effect of videoconferencing on the depth perception of observers.

The ability of the human eye to perceive depth was measured using a specially designed instrument. Visual acuity and both monocular and binocular stereoacuity were measured when viewing the instrument directly and via a videoconferencing link. Ten subjects with an average age of 32.5 years (range 24-50) took part in the study. The group mean visual acuity using both eyes under normal test conditions was -0.04 logMAR (Snellen 6/5) compared with 0.18 logMAR (Snellen 6/10) for the video-link. The mean stereoacuity using both eyes was 37" (SD 18") under normal test conditions. When a videoconferencing link was used, the mean stereoacuity fell to 1218" (SD 1203") using one eye and to 1651" (SD 1419") using both eyes. The ability to perceive depth remotely via a video-link was significantly decreased compared with normal test conditions.

Adult↗
PubMed2001

Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics.

The clinical effectiveness and costs of videoconferencing in orthopaedics between primary and secondary care were examined in an eight-month prospective, comparative study. The general surgery outpatient clinics of two Finnish district hospitals were compared: Peijas Hospital, with telemedicine, and Hyvinkää Hospital, without it. The three study primary-care centres referred a total of 419 adult patients to the outpatient clinics. The population-based number of referrals to Peijas Hospital was similar to that to Hyvinkää Hospital after adjusting for the proportion of older people living in the Hyvinkää Hospital municipalities. Of the 225 patients referred to Peijas Hospital, 168 (75%) were given appointments at the outpatient clinic of surgery and the rest of the referred patients received a teleconsultation. All patients referred to Hyvinkää Hospital were given appointments at the outpatient clinic. The direct costs of an outpatient visit were 45% greater per patient than for a teleconsultation, with a marginal cost decrease of EU48 for every new teleconsultation. A cost-minimization analysis of the alternative interventions showed a net benefit of EU2500 in favour of teleconsultations. The use of videoconferencing between primary and secondary care was modest in orthopaedics, although the use of this telemedicine method was shown to reduce direct costs and be cost-effective.

Adult↗
PubMed2001

Training in cognitive-behavioural therapy for mental health professionals: a pilot study of videoconferencing.

A foundation course in cognitive-behavioural therapy (CBT) was developed specifically for delivery via videoconferencing at 256 kbit/s. A two-part, 20-week programme was evaluated at seven sites, with a total of 12 participants, in rural and remote Western Australia. Eleven of the participants completed a pre- and post-training knowledge test. There was a significant improvement in their knowledge of CBT after training. Ten participants also completed a satisfaction questionnaire. The majority were satisfied with the training they received and stated that the training had given them greater confidence in their ability to use CBT with their patients. This study lends support to the use of videoconferencing in the training of rural and remote mental health practitioners.

Attitude of Health Personnel↗
PubMed2001

Successes and failures in videoconferencing: a community health education programme.

Women's Health Queensland Wide began delivery of community education programmes for rural women via videoconferencing in the year 2000. A series of three, 90 min videoconference sessions from Brisbane were delivered to 13 sites in northern Queensland. The sessions related to health issues for women at midlife. The sessions were delivered by health experts in Brisbane, who provided a short presentation on their topic; the majority of the videoconference was dedicated to questions from the participants. Each site was supported by a technical coordinator, who ensured that the equipment functioned properly, and a local health worker, who facilitated women's participation in the videoconference as well as providing a local services perspective. Women's Health Queensland Wide was responsible for overall planning and promotion of the sessions. Feedback from these programmes demonstrated women's and health-care professionals' acceptance of videoconferencing as a mechanism for receiving health information. Sustainability of these programmes depends upon the following issues: cost, delivery model, and the availability of appropriate technology and women-friendly sites.

Attitude of Health Personnel↗
PubMed2003

The Pentalfa project. 1: the development of distance continuing medical education via videoconferencing in the Dutch-speaking region of Belgium.

A distance continuing medical education programme was established at the Katholieke Universiteit Leuven in Belgium using multipoint videoconferencing via ISDN lines at 384 kbit/s. The sessions, held in the evening, comprised oral presentations followed by interactive questions and answers, and concluded with a multi-site panel discussion. At all sites the session could be followed on two screens. The speaker/moderator or a questioner at a peripheral site, for example, was shown on the first screen and digital images were projected on the second screen. A multi-site voting system was provided. In weekly sessions between five rotating sites, a multipoint videoconference dealing with a different medical topic was presented and treated in a multidisciplinary way. During the three years of the project, 20 different peripheral sites were visited or revisited. On a five-point scale (with higher scores representing more positive evaluations), the average score for the quality of the image was 3.72 (SEM 0.01) and for sound 3.87 (SEM 0.01) (n = 3743). The mean rating of the voting system was 3.76 (SEM 0.02) (n = 3119). For sound, image quality and the voting system, respectively, 73%, 65% and 70% of all participants gave ratings of 'very good' or 'good'. The older participants gave slightly more positive ratings than the younger ones. Videoconferencing appears to be a suitable alternative to face-to-face seminars.

Attitude of Health Personnel↗
PubMed2004

An investigation of videoconferenced geriatric medicine grand rounds in Alberta.

Geriatric medicine grand rounds (GMGR) from the University of Alberta are videoconferenced weekly to health-care providers at up to 9 urban and 14 rural sites across Alberta. A questionnaire was given to all participants attending 20 consecutive GMGR presentations from January 2002. The response rate was 85% (n = 625) for all participants and 99% (n = 123) for physicians alone. The audience was composed of registered nurses (42%), physicians (17%) and other health-care professionals. 'Interest in topic' was cited by 95% as the main reason for attendance. Doctors and nurses cited continuing medical education as an additional factor. The highest attendance was for the topics vascular dementia, behavioural problems in dementia, the genetics of dementia and falls prevention. Participants at the remote sites gave lower evaluations of quality of the GMGR presentations than those at the hub site. The measurement, care and treatment of dementia appeared to be the main concerns of health-care providers across the province. The videoconferencing of GMGR appears to be an effective method of meeting the demands of physicians and allied health professionals for education in geriatric medicine.

Aged↗
PubMed2004

Use of interactive videoconferencing to deliver asthma education to inner-city immigrants.

Videoconferencing to deliver asthma health education to patients or their parents has not been widely used in the USA. We used two 90 min interactive videoconferences to deliver an asthma education programme to a convenience sample of mainly Latino immigrant parents in the Bronx, New York. In these sessions short presentations were given on asthma triggers, medications and the prevention of asthma exacerbations. To test gains in knowledge, we administered a self-completion questionnaire consisting of true/false statements before and after the videoconferences. Sixty subjects participated in the first videoconference and 56 in the second. Asthma knowledge improved significantly after both. Three months later, knowledge retention from the first videoconference was good. The majority of subjects asked questions and commented on their personal experiences of asthma. Interactive videoconferencing allowed asthma education to be delivered to a large immigrant population, elicited concerns from the audience and was effective in improving knowledge.

Asthma↗
PubMed1998

Psychotherapy supervision conducted by videoconferencing: a qualitative study of users' experiences.

Psychiatry residents in Norway have 70 hours of mandatory psychotherapy supervision to develop insights into the therapeutic relationship. Six supervision pairs (six candidates and two supervisors) conducted five videoconferencing-based supervision sessions (384 kbit/s) and five face-to-face sessions alternating weekly for 10 sessions. Following completion of the 10 sessions for candidates and supervisor B, and the 50 sessions for supervisor A, all subjects completed a semi-structured interview within two weeks. The eight subjects reported a wide range of experiences and attitudes. The results suggested that the quality of supervision can be satisfactorily maintained by using videoconferencing for up to half of the 70 hours required. The precondition for this estimate is that the pair in question have met face to face and established a relationship characterized by mutual trust and respect. Further studies, which include supervision pairs not having previously established relationships, are needed in order to indicate the generality of this precondition. The most obvious implication of this study is the potential for implementing decentralized models for recruiting and educating psychiatrists.

Adult↗
PubMed1998

The assessment of cognitive function in the elderly using videoconferencing.

People over the age of 65 were recruited from an inner-city old-age psychiatry service. Subjects had a structured interview (the CAMCOG test) by videoconferencing, and also face to face, by an investigator blind to the results of the test in the other mode. Reassessments were carried out within one week of the initial assessment. Eleven subjects were initially enrolled in the study and eight completed both modes. The number of patients in this study is very small but the results suggest that the CAMCOG test can be used reliably over a videoconferencing system without major modification.

Aged↗
PubMed1998

The experience of the Royal Children's Hospital Mental Health Service videoconferencing project.

In April 1995 the Royal Children's Hospital Mental Health Service in Melbourne piloted the use of videoconferencing in providing access for rural service providers and their clients to specialist child and adolescent psychiatric input. What began as a pilot project has in two years become integrated into the service-delivery system for rural Victoria. The experience of the service in piloting and integrating the use of videoconferencing to rural Victoria has been an important development for child and adolescent mental health services in Australia.

Adolescent↗
PubMed1998

Assessing the use of low cost PC-based ISDN videoconferencing in hospital training.

A course on Italian safety rules and regulations has been delivered to the personnel of a University clinic using videoconferencing, based on an ISDN-2 connection through a multimedia PC. The goal was to evaluate the efficacy of this technology for the training of hospital personnel. To assess it, the trainees were divided into two groups, one at the trainer's site and the other in the University. Comparing the evaluating questionnaires that both groups were asked to complete at the end of each session (based on the comprehension of the subject taught), significant differences were found only when the quality of images was very poor (for technical reasons) or the level of interaction was low. The price/performance ratio was considered good, but there are some technical and psychological problems that must be taken in account before using videoconferencing for training.

Computer-Assisted Instruction↗
PubMed2000

The potential and costs of videoconferencing in dental education, dental vocational training and MFDS preparation.

This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching across a range of scenarios. A summary of the feedback from trainees is also provided.

Consumer Behavior↗
PubMed2001

IP videoconferencing using a quality of service public network.

Videoconferencing in the medical world has been successfully used for quite a few years. Nevertheless it has not spread significantly in daily use. Some of the problems rely on the infrastructure needed to set up a video session: one or more ISDN lines or a fast Internet connection. The first is not easily available everywhere in a building; the latter is rarely so fast to allow for a smooth operation with no quality drops. The use of Videonet, the first European commercial public Internet link with guaranteed Quality of Service (QoS), has the potential to be a breakthrough in videoconferencing. We describe this new system and its applications, with the first tests in a hospital environment. Our results show that there are still problems to be solved in order to achieve a quality comparable to ISDN.

Europe↗
PubMed2005

Objective assessment of videoconferenced lectures in a surgical clerkship.

BACKGROUND: A challenge to the practice of third-year clerkship rotations at remote locations is the maintenance of equivalent didactic lectures, especially in subspecialty components. There has been little objective assessment of the results of videoconference lectures on medical student clerkship education. METHODS: Third-year surgical clerkship students, randomly assigned to a 4-week rotation 75 miles from the medical school, received subspecialty lectures by interactive teleconference via an ISDN line at 128 kb/s. Weekly quiz results (% correct) of students who received videoconference lectures were compared with students receiving conventional lectures, and were analyzed by 2-tailed t tests for equality of means. RESULTS: A mean of 12 students were tested per quiz (range, 5-21 students) after videoconference lectures, and 98 students were tested after conventional lectures (range, 41-146 students). The mean quiz score of students receiving video lectures was 70.5% (range, 65.4% to 73.6%); and after conventional lectures the mean quiz score was 71.4% (range, 69.5% to 76.8%). There were no significant differences in the mean scores of the individual quizzes (P = .16-.92) or between the totals (P = .65). CONCLUSIONS: Telemedicine, using interactive videoconferencing, is an effective method for didactic lectures in a surgical clerkship. This technology allows students to receive interactive lectures at distant clinical sites and limit their travel.

Adult↗
PubMed2005

An assessment of the efficacy of cancer genetic counselling using real-time videoconferencing technology (telemedicine) compared to face-to-face consultations.

There are few published studies regarding the use of telemedicine in counselling families with a history of cancer. In this study, cancer genetic counselling was evaluated when conducted via telemedicine and compared to face-to-face consultations. Participants were placed into a telemedicine group or a face-to-face group depending on their geographical location. Telemedicine consultations took place using real-time videoconferencing technology ISDN6 digital telephone lines. Sixteen participants were evaluated in the telemedicine compared to 21 in the face-to-face group and all participants were asked to complete both a precounselling and postcounselling questionnaire, which assessed their understanding of cancer genetics, anxiety levels, satisfaction levels, and allowed for personal comments. In both the telemedicine and face-to-face groups, a significant reduction in cancer related anxiety levels and high satisfaction levels were reported. There was a trend towards increased cancer genetic knowledge post genetic counselling in both groups. The results show that telemedicine is a useful alternative by which to provide cancer genetic services when geographical distance is an issue.

Adult↗
PubMedDate not supplied

Videoconferencing and other distance education techniques in chemoinformatics teaching and research at Indiana University.

At a time when the demand for people with expertise in chemoinformatics is increasing, there is still only a very small number of academic institutions that offer chemoinformatics-related classes and degrees. The distance education (DE) approach allows both learning and research to be carried out at multiple geographic locations and institutions, thus leveraging the few educational offerings that are available. In this paper, distance education techniques and technologies (with emphasis on videoconferencing) are reviewed, and examples of how they are used to increase the accessibility of chemoinformatics education and research at the Indiana University School of Informatics are presented.

Chemistry↗